Chapter 38 The Medical Record

List three functions of the medical record. 1) documents the results of treatments and patient's progress. 2) basis for decisions regarding the patient's care and treatment. 3) efficient and effective method by which information can be communicated between authorized personnel. The physician uses the information in the medical record as a basis for making decisions regarding the patient's care and treatment; it serves to document the results of treatment and the patient's progress and provides an efficient and effective method by which information can be communicated to authorized personnel in the medical office; it also serves as a legal document. (authority: 38 u. s. c. 5103a (b (2) obtaining records in the custody of a federal department or agency. va will make as many requests as are necessary to obtain relevant records from a federal department or agency.

The chief medical examiner, with the approval of the commission, shall establish a comprehensive system to deliver medicolegal investigative services in the commonwealth. the chief medical examiner shall appoint a deputy chief medical examiner who shall perform all of the duties of the chief medical examiner in case of incapacity or absence. Chapter 38 review the medical record. study. flashcards. learn. write. spell. test. play. match. gravity. created by. tarabentley2015. terms in this set (25) medicalrecord. a written or electronic record of the important information regarding a patient, including the care of that individual and the progress of his or her condition. are trying to weed through we have all the medical records we can get our hands on, pictures (from a traumatic birth), attorney records… thankfully my nephew is doing very well a year after his brain injury, but our family is still fighting for the innocence of my brother reply sue luttner july (3) obtaining records in compensation claims. in a claim for disability compensation, va will make efforts to obtain the claimant's service medical records, if relevant to the claim; other relevant records pertaining to the claimant's active military, naval or air service that are held or maintained by a governmental entity; va medical records or records of examination or treatment at non-va.

Chapter 38 Review The Medical Record Flashcards Quizlet

Chapter 38 Medical Record Key Terms Flashcards Quizlet

View chapter 38. docx from mib 101 at hawaii medical college. chapter 38: the medical record key term assessment 1. q 2. t 3. b 4. n 5. r 6. d 7. j 8. e 9. i 10. p 11. l 12. a 13. w 14. s 15. k 16. the real day we have gate 1 with medical teams at the gate at the entrance but how powerful it is to record them in their conditions at home record them Chapter 38. data collection and reports. subchapter a. general provisions. the department shall maintain a record of all inquiries made by the department under this section. added by acts 1999, 76th leg. ch. 101, sec. 1, eff. sept. 1, 1999. trends in chapter 38 the medical record billed amounts for health care or medical services or supplies, especially emergency. Start studying chapter. 38 medical record: key terms. learn vocabulary, terms, and more with flashcards, games, and other study tools.

38 u. s. code § 7332 confidentiality of certain medical records. records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the department under this title. U. s. department of veterans affairs 810 vermont avenue, nw washington dc 20420. last updated august 27, 2020. Before a house vote last week on legislation to strip a public commission of its oversight of local teams that respond to child-abuse cases, gov. asa hutchinson sent a letter to commission members -including several executive branch employees -asking them to support chapter 38 the medical record the bill.

Chapter 38 The Medical Record Youll Remember Quizlet

A clinical section of the medical record it's a narrative report of an opinion about a patient's condition from a practitioner other than the attending physician requirements 4 this report include: documentation that the physician reviewed the patient's health. 38chapter 2 / the medical record. table 2. 1 components of a patient’s medical record medical history (also known as history and physical, or h&p) • patient demographics • chief complaint (cc) • history of present illness (hpi) • past medical history (pmh) • family history (fh). 38 chapter 2 / the medical record. table 2. 1 components of a patient’s medical record medical history (also known as history and physical, or h&p).

Apply for and manage the va benefits and services you’ve earned as a veteran, servicemember, or family member—like health care, disability, education, and more. chapter 38 the medical record Chapter 38 the medical record. study. flashcards. learn. write. spell. test. play. match. gravity. created by. mei_morales. terms in this set (66) list three functions of the medicalrecord. a basis for decisions regarding patient care, an efficient and effective way information can be authorized and serves as a legal document.

38 Cfr 3 159 Department Of Veterans Affairs Assistance In

Study ch 38: the medical record flashcards from mary best's renton technical college class online, or in brainscape's iphone or android app. learn faster with spaced repetition. Start studying chapter 38 the medical record. learn vocabulary, terms, and more with flashcards, games, and other study tools. Chapter 38 the medical record. study. flashcards. learn. write. spell. test. play. match. gravity. created by. tiffany_beverly. key concepts: terms in this set (39) what is a medicalrecord. a written or electronic record of the important information regarding a paitent. what does a medical record serve as in chapter 38 the medical record healthcare.

Start studying chapter 38: the medical record evaluation of learning. learn vocabulary, terms, and more with flashcards, games, and other study tools. Chapter 22, preventive medicine and chapter 38 the medical record occupational health ; chapter 23, reports, forms, and records -manmed change 71 of 27 dec 1971 combined chapters 2, 3, 4, and 5 into an updated chapter 2, medical corps. chapters 3, 4, and 5 no longer exists. -manmed change 98 of 3 aug 1984 deleted chapter 11, naval hospitals. chapter 11 no longer exists. 38 u. s. code § 7332 confidentiality of certain medical records. 76 stat. 593, which is classified generally to chapter 32 (§ 2651 et seq. ) of title 42, the public health and welfare. for complete classification of this act to the code, see tables. amendments. Sec. 38. 0095. parental access to medical records. (a) a parent or guardian of a student is entitled to access to the student's medical records maintained by a school district. (b) on request of a student's parent or guardian, the school district shall provide a copy of the student's medical records to the parent or guardian.